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Permit No... /`��`',�t...L�_ i...... <br />�ITY ENGINEERS <br />EVERETT, WASH. <br />The Undersigned � `� � � � <br />Hereby applies for permission <br />APPLICATIl7N FQR DRIVEWAY PERMIT <br />., � �", /��,> / <br />At the following location 2% n�A %��. <br />SKETCH <br />IWork to be donel <br />iF-- --- <br />��s i i� fM �� <br />ReEa�n �int� <br />a <br />'��CC 6 <br />-i� � � <br />� p <br />�.9 <br />�� <br />�7 ii � I <br />� 290a + <br />-- ---- --- � <br />;i,:n,i,,,,,i. � <br />M <br />Pi ne <br />The undersigned owner hereby agrces lo hold and save harmless the City of <br />Everett irom any and all claims for damages that may arise because o( the <br />instcllalian and maintenance of the improvement herclo applied for and <br />furlher agrees lo remove same upon nolice from the City and io replace all <br />public property danaged Ihereby. <br />. � % �_ ,.f 7� <br />Inspeclor's Signafure � <br />� <br />�. i <br />.��' <br />Dafe <br />evereifi <br />� ,� � ; - �v,"._..�., f � <br />_ �'Approved By `� <br />Q �,�� T � %97/ <br />'� roate Approved <br />� <br />/ <br />� (�-f',��;��.,'� <br />� '�''niL <br />I <br />� ,. <br />290 � <br />Vnriance Required <br />Ycs . ... _. ._ .._... <br />No. _ . _ _. _. . _ _. _._. <br />i J! <br />Signafure of Applicc+nt <br />l�'� <br />C,- i /. - - <br />Address <br />; �. - (: i <br />Telephone Number <br />%�/LJ J/ <br />Dale <br />$ ..S � C`�tl 1�(Y � c� 'di�=S' �1� <br />Fce <br />DEPT. APPROVALS <br />� �' <br />` :. <br />6igincers .��;d_F/ J ' ��'�.�.; "- �� <br />;':Wale'd�:.l.f�' � � s���l <br />517ec1 % <br />